Larry Burch, DO is a medicare enrolled "Family Medicine" physician in Elkhart, Texas. His current practice location is
313 W Parker, Elkhart, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 764-5626.
Larry Burch is licensed to practice in Texas (license number F3795) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487657664.
Physician's Profile
Full Name | Larry Burch |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 313 W Parker, Elkhart, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487657664
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 09/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 9335036656
- Enrollment ID: I20070224000092
Medical Identifiers
Medical identifiers for Larry Burch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487657664 | NPI | - | NPPES |
126138001 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F3795 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larry Burch allows following entities to bill medicare on his behalf.
Entity Name | Texas Oncology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
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Entity Name | Christus Trinity Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
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Entity Name | Mother Frances Hospital Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
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Entity Name | Mother Frances Hospital Regional Health Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Burch is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Larry Burch, DO Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400 | Larry Burch, DO 313 W Parker, Elkhart, TX 75839-7612 Ph: (903) 764-5626 |
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